File photo Officials from several Bergen County hospitals said they did not use steroid injections possibly infected with fungal meningitis.

BERGEN COUNTY — Hospitals spent Monday reassuring hundreds of patients that they did not expose them to fungal meningitis by using tainted steroid injections, the Record reported.

Hospital officials said Englewood Hospital and Medical Center, Valley Hospital, Hackensack University Medical Center and Holy Name Hospital did not use contaminated epidurals from the New England Compounding Center in Massachusetts, the origin of a nationwide meningitis outbreak.

There were no cases of illness in the state as of Monday, the state Department of Health said, though it estimated that about 650 people could have received tainted injections. Because of the incubation period of the disease, more cases may be reported within a week or two, Mark Schlesinger, chairman of the anesthesiology department at Hackensack University Medical Center, said.

The symptoms for fungal meningitis include headache, fever, a stiff neck, and lethargy or delirium, Ted Louie, an infections disease specialist and clinical associate professor at Robert Wood Johnson University in New Brunswick, told the Star-Ledger. The disease is "extremely rare," he said.

About 13,000 people in 23 states received the the injection, the Boston Globe reported Monday. The disease has infected 105 people and killed 8, the U.S. Centers for Disease Control and Prevention said.